Study Club Member Jonathan
Study Club Member
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Articles
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Jonathan posted an update 2 months ago
What are your thoughts on removing the incisive canal? Often times i find that with bone grafting on a 8 or 9 site that the canal still gets in the way for implants
Aman, Ivan and Jedediah1 Comment-
That can be done, but that would be my least favorite option and my last resort. The patient can have long lasting paresthesia and sensation on the roof of their mouth so I typically don’t want to remove any anatomy that normally should be there so that would be my last resort Situation where I couldn’t avoid it. If you do do that make sure…
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Jonathan posted an update 2 months ago
I have never placed an immediate implant before but I think I found a good first case.
Patient is a 40 year male with a low smile line. Here is my proposed implant site.I am planning on placing a 4.2×13 implant direct legacy 3. My current plan is to drill to a 2.8 osteotomy and then place the implant and hope for enough primary stability.
Do…
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You typically want to place the top of your implant 2 to 3mm below the crest of the bone with immediate implants so you should have sufficient stability. Also, ensure a 2mm buccal gap that your should be grafted to get a more ideal healing response and to reserve the patients existing bone and biology. Also, typically the best case selection…
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Jonathan posted an update 7 months ago
I have a patient who looks like a good implant candidate for a mandibular overdenture.
I’ve never done one before but the ridge width is adequate and the patient appears to have enough interocclusal space. Immediate were made about 5 months ago.
My question is, when deciding where to place the implants, do you guys routinely make a large flap…
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Lots of different ways to go about it. However, I do prefer to do a full thickness flap to visualize the bone very well. If the patient has decent bone width distal to the mental foramen then I would take your incision distal to where the second molar would be so you have a great working space and I prefer to place four implants if the patient…
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Jonathan posted an update 9 months ago
When doing a lateral sinus lift like you were talking about yesterday, have you encountered an intrabony artery? And if you have, what is your preferred way of managing bleeding complications? Thank you!
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Yes, very often 50% of greater you will have a PSAA (posterior superior alveolar artery) within the bony buccal wall as the window is created. Sometimes you can work around it and/or carefully through it with the help of a piezo. If cut you can apply pressure to the hard bony wall to stop bleeding or if large enough plug it up with a Perio…
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Jonathan posted an update a year ago
For immediate implants, i’ve seen videos where it was mentioned to use a Linderman drill at 2000rpm to make an initial slot to prevent the slope of the extraction socket from deflecting the drill. This is in regards to anterior teeth as well as upper premolars where you are aiming for lingualized positioning
I had two questions about this
1) do…
